Publication:
The Impact of RSBY on Hospital Utilization and Out-of-Pocket Health Expenditure

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dc.contributor.authorJohnson, Douglas
dc.contributor.authorKrishnaswamy, Karuna
dc.date.accessioned2015-11-03T18:55:22Z
dc.date.available2015-11-03T18:55:22Z
dc.date.issued2012-12
dc.description.abstractIn 2008, India launched Rashtriya Swasthya Bima Yojana (RSBY), a government subsidized health insurance scheme for the poor that covers secondary hospital care for Below Poverty Line (BPL) households. Designed to improve access to healthcare and reduce the financial burden of healthcare expenses, RSBY currently covers 32 million households. The authors exploit the phased rollout of RSBY to estimate the impact of the scheme in its early days on hospitalization rates and out-of-pocket health expenditure using a difference-in-differences approach with matching. We use secondary data from the National Sample Survey Organization conducted in 2009-10. We find that the scheme has led to a small decrease in out-of-pocket household outpatient expenditure and consequently total medical expenditure. The authors also find limited evidence of increase in the number of households that have had a hospitalization case though there are regional variations in the nature of impact. It is unclear whether the improved access to inpatient care is reducing outpatient expenses through decreased need for outpatient care or because some people or hospitals are colluding to convert outpatient treatment to inpatient to avail of the scheme. The authors suggest that additional evidence with a more recent data set allowing for more time for RSBY to display effects is needed to strengthen these early findings.en
dc.identifierhttp://documents.worldbank.org/curated/en/2015/08/24144032/impact-rsby-hospital-utilization-out-of-pocket-health-expenditure
dc.identifier.doi10.1596/22820
dc.identifier.urihttps://hdl.handle.net/10986/22820
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HOSPITAL
dc.subjectBEDS
dc.subjectCOMMUNITY HEALTH
dc.subjectCOST OF HEALTH CARE
dc.subjectCRIME
dc.subjectCRIMES
dc.subjectDIAGNOSTIC TESTS
dc.subjectDISTRICTS
dc.subjectDRUGS
dc.subjectECONOMIC REVIEW
dc.subjectENROLLEES
dc.subjectEXPENDITURES
dc.subjectFAMILY PLANNING
dc.subjectFINANCIAL RISK
dc.subjectFINANCIAL RISK PROTECTION
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE PROGRAM
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH INSURANCE SCHEMES
dc.subjectHEALTH MARKET
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTHCARE
dc.subjectHEALTHCARE EXPENDITURE
dc.subjectHOSPITAL ADMISSION
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL UTILIZATION
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHOUSEHOLDS
dc.subjectINCOME
dc.subjectINCOME HOUSEHOLDS
dc.subjectINFORMAL SECTOR
dc.subjectINPATIENT CARE
dc.subjectINSURANCE COMPANIES
dc.subjectINTERVENTION
dc.subjectLABOR MARKET
dc.subjectLOW INCOME
dc.subjectMEDICAL EXPENDITURE
dc.subjectMEDICAL EXPENSES
dc.subjectMEDICAL INSURANCE
dc.subjectMEDICAL SERVICES
dc.subjectMORTALITY
dc.subjectOUTPATIENT CARE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPOLICY RESEARCH
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH CARE SERVICES
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SPENDING
dc.subjectPROBABILITY
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SPENDING
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectRURAL AREAS
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL SCIENCE
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY HEALTH INSURANCE
dc.subjectURBAN AREA
dc.subjectURBAN AREAS
dc.subjectUSE OF HEALTH SERVICES
dc.subjectVILLAGES
dc.subjectVISITS
dc.titleThe Impact of RSBY on Hospital Utilization and Out-of-Pocket Health Expenditureen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.date.disclosure2015-08-28
okr.date.doiregistration2025-05-05T11:51:35.643347Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2015/08/24144032/impact-rsby-hospital-utilization-out-of-pocket-health-expenditure
okr.guid507781468034232116
okr.identifier.externaldocumentum000333037_20150313115339
okr.identifier.internaldocumentum24144032
okr.identifier.report94958
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/08/28/090224b082c251b6/1_0/Rendered/PDF/The0impact0of00t0health0expenditure.pdfen
okr.region.administrativeSouth Asia
okr.region.countryIndia
okr.sectorOther social services
okr.sectorHealth and other social services
okr.topicHealth Law
okr.topicLaw and Development
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Health Economics & Finance
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